Citation

Marescal C, Adnet P, Bello N, Halle I, Forget AP, Boittiaux P. Ann. Fr. Anesth. Reanim. 1998; 17(3): 234-239.

Vernacular Title

Agressions cerebrales secondaires d'origine systemique chez les enfants

Affiliation

Service d'accueil des urgences, hôpital R-Salengro, CHRU de Lille, France.

Copyright

(Copyright © 1998, Elsevier Publishing)

DOI

unavailable

PMID

9750735

Abstract

OBJECTIVE: To assess incidence of secondary brain insults of systemic origin (SBISOs) such as arterial hypotension, hypoxaemia, hypercarbia, and anaemia in severely head injured children; to assess their impact on mortality and morbidity in the short- and long-term. STUDY DESIGN: Prospective, open study covering a 24-month period. PATIENTS: Seventy-one children, under 15 years of age, admitted to a trauma centre for severe brain injury. METHOD: Analysis of SBISOs and outcome. RESULTS: Twenty-five children were admitted with SBISOs. The mortality rate was 37%. After hospitalization, 84% of the children with SBISOs vs 46% without SBISOs had severe disability (Glasgow outcome score = 1, 2 and 3). After 1 year, 20 out of the 45 children still alive were contacted. One of the four with SBISOs communicated a bad recovery. Fifteen children without SBISOs presented good recovery: GOS = 4-5, paediatric overall performance category (POPC scale) = 1-2. CONCLUSION: Hypotension was associated with significant increase in mortality (x 3.6) in children with severe head injury. The consequences were worse when anaemia was associated.

Language: fr